Male with natural breasts. What could I do to treat this? (Photo)

Thank you for posting your question here.my answer is based on the limited information and pictures presented, for a more in depth answer and for complete medical advice I would recommend visiting a plastic surgeon in person.
based on the above you appear to have an advanced case of gynecomastia. before venturing on any treatment journey your surgeon will likely recommend obtaining a few tests such as a hormone profile, maybe a mammogram etc. and based on the results formulate a treatment plan.
should the results point to gynecomastia your surgeon will likely recommend a mastectomy with potential free nipple graft given the size of the gynecomastia and the skin redundancy. That being said I would recommend you visit a plastic surgeon for a plan that is tailored to your needs and situation. I hope this helps , good luck!

Thank you for your question. You have a significant amount of excess breast tissue with loose skin. You would benefit what is called a modified mastopexy, aka gynecomastia surgery with skin excision. The scars would be a transverse scar across the chest, and the nipple areola complex would be maintained on a thinned pedicle of tissue and the areola would be made smaller. I frequently perform these procedures and can often do them under local anesthesia with sedation as well. Best to speak to a board certified plastic surgeon either in person or virtually. All the best,